Individual provider · Type 1 NPI
Kisha L. Bowen
Acute Care Nurse Practitioner · Maywood, IL
NPI number
1740155183
Active
Practice location
1234 S 13th Ave
Maywood, IL 60153-1830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209.032790 (IL) |
| Gerontology Nurse Practitioner | 363LG0600X | 209.032790 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1740155183
Kisha L. Bowen's National Provider Identifier is 1740155183, issued on Oct 7, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Maywood, IL. The record was last updated on Aug 25, 2026.